Individual
JENNIFER LOUISE EMBRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
560 S MAPLE ST STE 130, WACONIA, MN 55387-1793
(952) 442-2137
Mailing address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-4150
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
78948
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
O5DUEV
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2021
Last updated
01/23/2026
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